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CLINICAL
Homeopathy has been provided by the National Health Service in the UK for over 60 years,
funded largely by taxpayer’s money. However, in recent years, its provision has come un-
der much criticism questioning its true value. Taking a neutral stance, arguments both for
and against the provision of homeopathy on the NHS is presented. It includes issues such
as the evidence and safety profile of homeopathy, but also takes into account costs and
benefits of homeopathy in a wider perspective. Overall, the provision of homeopathy is jus-
tified as long as there is a need within the population, occupying a complementary role
alongside conventional medicine. Homeopathy (2011) 100, 183e186.
Homeopathy
The future role of homeopathy in the NHS
DY-H Ng
185
hopes to these individuals and acts as a welcome psycho- Conclusion
logical boost. Many homeopathic remedies are made
from natural ingredients available in a variety of forms Homeopathic services in the NHS have declined in
that are easy to use, hence are likely to achieve better com- recent years. Despite publications showing positive
pliance than conventional treatments. Is it then ethical to effects in homeopathy,30 for many years research in
withdraw homeopathy when patients currently choose to homeopathy has reached no definite conclusion. Medi-
use it and report benefit from it? cine now places more importance in evidence-based
practice than ever before, pushing for a cut in NHS ho-
meopathy. What lies ahead for homeopathy on the
Safety NHS remains uncertain.
In my opinion homeopathy in the NHS should not be
Any therapy must include an acceptable safety profile stopped solely on the lack of clear positive evidence
if it is to be accepted in the NHS. A systematic review from trials. Data on patient popularity and patient-
by Dantas et al. shows that homeopathy has a good safety reported benefits have been promising and support the
profile with limited adverse effects.25 However, Professor provision of homeopathy in the NHS. Should patient
Ernst argues that homeopathy is unsafe as it contributes demand and patient-reported benefits come before or after
to poor medical practice. He points out in his blog that evidence-based medicine? This is something beyond the
some homeopaths dissuade people from immunizing their scope of this article.
children.26 He also criticises advice given by some non- Cost-effectiveness studies show that homeopathy
medical homeopaths to avoid antiviral drugs in the recent offers savings compare with conventional medicine. For
swine flu epidemic.27 To what extent homeopathy con- this reason the provision of homeopathy on the NHS is
tributes to unsafe medical practice remains unclear, but justified as long as patient demand remains and the
if homeopaths solely concentrate on homeopathy and ig- majority of patients experience benefits. In the near
nore conventional medicine, this would clearly pose future, the best approach is to continue the integration
a risk to patient. of homeopathy in the NHS with a complementary role
In contrast to Ernst’s arguments, a reduction of homeo- supporting conventional medicine. Regular reviews and
pathic services in the NHS may on the other hand raise its audits are vital to ensure a high standard of homeopathy
own safety problem. As many PCTs reduce commissioning service. A body regulating homeopaths who are not al-
for homeopathy, patients have lost access to services previ- ready members of health professions is also important
ously accessible on the NHS and subject to NHS clinical to provide the best healthcare for patients.
governance. As there is no regulation of homeopaths who
are not members of statutorily-regulated health professions
in the UK, there are concerns with respect to the expansion
of private homeopathy and potential risk to patients.9 A reg- References
ulatory body to govern such practitioners would guarantee
safety to patients. 1 Ernst E, White A. BBC survey of complementary medicine use in
the UK. Complement Ther Med 2000; 8(1): 32e36.
2 British Homeopathic Association website http://www.
britishhomeopathic.org/getting_treatment/homeopathy_in_the_nhs/
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withdrawn. KentOnline, http://www.kentonline.co.uk/kentonline/
needs to be considered when analysing the provision of ho-
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should be funding? Br J Gen Pract 2008; 58: 208e209.
the NHS about £4 million in 2008.28 An independent report
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Homeopathy
The future role of homeopathy in the NHS
DYH Ng
186
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Homeopathy